Monday, February 3, 2020

OIG Advisory Opinion for Kymriah Allows Needs-Tested Travel Support

Historically, OIG has frowned on any kind of "kickback" to patients or providers, even small ones.  This is based both on existing regulations, a long series of Advisory Opinions, and case law.

A January 30, 2020 (subscription) article in STAT-PLUS looks at a January 2020 advisory opinion that allows travel to be paid for patients who'll get Kymriah, which has both a cell-harvesting stage and a therapy stage.   The article is here; the advisory opinion is here.

The STAT article quotes experts that the opinion "at first glance" appears contradictory to prior opinions. 

Tidbit:  The name "Kymriah" is redacted, but the fact patterns make it clear that Kymriah must be the drug whose name is redacted.

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